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一例因服用碳酸镧在CT成像和腹部X光片上被误诊为静脉硬化性结肠炎的病例。

A case of lanthanum carbonate ingestion thought to be phlebosclerotic colitis on CT imaging and abdominal radiograph.

作者信息

Harris K, Balcam S

机构信息

18 Highworth Drive, Springwell Village, NE9 7NW, UK.

Hull Royal Infirmary, Radiology, Anlaby Road, Hull, HU3 2JZ, UK.

出版信息

Radiography (Lond). 2017 Feb;23(1):e23-e26. doi: 10.1016/j.radi.2016.09.004. Epub 2016 Oct 1.

Abstract

A male admitted in the early hours of the morning, complained of a four week, right sided, non-radiating, dull and intermittent abdominal pain. Imaging suggested a diagnosis of phlebosclerotic colitis which was later discounted when the patients' history of lanthanum carbonate ingestion was examined. Phlebosclerotic colitis mostly affects the Asian population, and its cause is still not known, but can be associated with specific radiographic features. Collections of lanthanum may confuse a diagnosis of phlebosclerotic colitis as well as other factors such as voxel errors, photon starvation and movement.

摘要

一名男性于凌晨入院,主诉右侧腹部持续四周的非放射性钝痛且为间歇性疼痛。影像学检查提示为静脉硬化性结肠炎,但在检查患者服用碳酸镧的病史后,该诊断后来被排除。静脉硬化性结肠炎主要影响亚洲人群,其病因尚不清楚,但可能与特定的影像学特征有关。镧的聚集可能会混淆静脉硬化性结肠炎的诊断,以及其他因素,如体素误差、光子饥饿和运动。

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